Organization
WLIAZ SUPPORT GROUP, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ORRIS D.O. (OWNER)
(480) 829-6100
Entity
Organization
Contact information
Practice address
1855 E SOUTHERN AVE, TEMPE, AZ 85282-5894
(480) 829-6100
Mailing address
1855 E SOUTHERN AVE, TEMPE, AZ 85282-5894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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